Displaying 141821-141830 of 1611142 results.
ID:
141821
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
905395
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141822
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198371
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141823
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197817
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141824
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197818
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141825
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197889
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141826
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
855172
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
141827
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
242679
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141828
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
309313
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141829
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
351285
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
620
Qty Limit Days:
31
ID:
141830
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2123194
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
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